93609 Intra-vntr mapg tchycar site
What 93609 is
CMS fee schedule short descriptor: Intra-vntr mapg tchycar site.
Full CPT long descriptions are licensed by the American Medical Association and are not published on this site; the short descriptor above is the one CMS prints in its own fee schedule file. See About CPT.
Medicare payment for 93609 (CY2026)
This code has no Physician Fee Schedule rate: Carrier-priced - the Medicare contractor sets the price. It may be paid under a different fee schedule (clinical laboratory, DMEPOS, anesthesia) or not paid at all - check the relevant CMS schedule.
Medically Unlikely Edit (MUE)
Medicare caps 93609 at 1 unit per date of service for practitioner claims (MAI 3 - date of service edit (clinical): units above the MUE may pay with documentation on appeal), rationale: Anatomic Consideration. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.
Billed with 93609? These codes are bundled into it
93609 is a Column 1 code in 38 active NCCI PTP edits. When one of these Column 2 codes is reported on the same date of service, it is denied as bundled - unless the edit's modifier indicator is 1 and documentation supports a distinct service with an NCCI-associated modifier.
| Column 2 code | Short description | Modifier indicator | |
|---|---|---|---|
00410 | Anes integ sys conv arrhyt | 0 - no modifier bypass | Check pair |
00537 | Anes cardiac ep procedures | 0 - no modifier bypass | Check pair |
0632T | Perq tcat us abltj nrv p-art | 1 - modifier may bypass | Check pair |
33210 | Insert electrd/pm cath sngl | 0 - no modifier bypass | Check pair |
33211 | Insert card electrodes dual | 0 - no modifier bypass | Check pair |
36000 | Place needle in vein | 1 - modifier may bypass | Check pair |
36005 | Injection ext venography | 1 - modifier may bypass | Check pair |
36010 | Place catheter in vein | 1 - modifier may bypass | Check pair |
36011 | Place catheter in vein | 1 - modifier may bypass | Check pair |
36012 | Place catheter in vein | 1 - modifier may bypass | Check pair |
36013 | Place catheter in artery | 1 - modifier may bypass | Check pair |
36140 | Intro ndl icath upr/lxtr art | 1 - modifier may bypass | Check pair |
36410 | Vnpnxr 3yr/> phy/qhp dx/ther | 1 - modifier may bypass | Check pair |
36591 | Draw blood off venous device | 0 - no modifier bypass | Check pair |
36592 | Collect blood from picc | 0 - no modifier bypass | Check pair |
92960 | Cardioversion electric ext | 1 - modifier may bypass | Check pair |
92961 | Cardioversion electric int | 1 - modifier may bypass | Check pair |
93000 | Electrocardiogram complete | 1 - modifier may bypass | Check pair |
93005 | Electrocardiogram tracing | 1 - modifier may bypass | Check pair |
93010 | Electrocardiogram report | 1 - modifier may bypass | Check pair |
93040 | Rhythm ecg with report | 1 - modifier may bypass | Check pair |
93041 | Rhythm ecg tracing | 1 - modifier may bypass | Check pair |
93042 | Rhythm ecg report | 1 - modifier may bypass | Check pair |
93050 | Art pressure waveform analys | 0 - no modifier bypass | Check pair |
93600 | Bundle of his recording | 0 - no modifier bypass | Check pair |
93602 | Intra-atrial recording | 0 - no modifier bypass | Check pair |
93603 | Right ventricular recording | 0 - no modifier bypass | Check pair |
93624 | Ep f-up study pacg&rec | 1 - modifier may bypass | Check pair |
96523 | Irrig drug delivery device | 0 - no modifier bypass | Check pair |
99155 | Mod sed oth phys/qhp <5 yrs | 0 - no modifier bypass | Check pair |
Showing 30 of 38 column 2 codes. Use the pair checker for any specific combination.
93609 is bundled into these codes
93609 appears as a Column 2 code in 7 active edits. Reported with one of these Column 1 codes on the same date of service, 93609 is the code that denies.
| Column 1 code | Short description | Modifier indicator | |
|---|---|---|---|
93610 | Intra-atrial pacing | 1 | Check pair |
93612 | Intraventricular pacing | 1 | Check pair |
93613 | Intracardiac ephys 3d mapg | 0 | Check pair |
93615 | Esophageal recording | 1 | Check pair |
93616 | Esophageal recording w/pacg | 1 | Check pair |
93618 | Indctj arrhythmia elec pacg | 1 | Check pair |
93654 | Compre ep eval tx vt | 0 | Check pair |
Data: CMS CY2026 Physician Fee Schedule RVU file (October release, RVU26D) and Medicare NCCI PTP practitioner edits v32.3 (2026 Q4). Verify against the official files before billing or contracting decisions.